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General NPI Number Information
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NPI Number | 1427431998
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Entity Type | Individual
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Provider Name | JENNIFER L LANCASTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 12301 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77035-6207
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Country | US
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Telephone | 571-267-8364
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Fax |
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Provider Business Mailing Address
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Address Line | 15839 SANDY HILL DR
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City | HOUSTON
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State | TX
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Zip | 77084-3636
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Country | US
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Telephone | 571-267-8364
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 64393
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License Number State | TX
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